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2900-0219 199508-2900-005
Historical Inactive 199308-2900-007
VA
CHAMPVA Application, Claim, OHI Certification, and Potential Liability
Revision of a currently approved collection   No
Regular
Withdrawn and continue 09/22/1995
08/15/1995
Withdrawn pursuant to Agency request.
  Inventory as of this Action Requested Previously Approved
06/30/1996 09/30/1998 06/30/1996
329,600 0 0
27,467 0 27,467
0 0 0